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General NPI Number Information
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NPI Number | 1306998661
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Entity Type | Organization
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Legal Business Name | AMERICAN ACCESS CARE OF FLORIDA LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 6766 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6066
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Country | US
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Telephone | 954-583-8472
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277180
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City | ATLANTA
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State | GA
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Zip | 30384-7180
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Country | US
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Telephone | 610-644-8900
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Fax | 484-924-0053
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | GREGG MILLER
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Credential | MD
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Telephone | 717-515-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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